As Cooper City Lessee, Llc

Specialty details in registry · Cooper City, FL

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At a glance

2580 Pine Island Rd, Cooper City, FL 33024

NPPES record updated Sep 15, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2580 Pine Island Rd
Cooper City, FL 33024
Professional details: NPI, taxonomy & registry record
NPI1265970651
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Feb 6, 2017
Record updated
Sep 15, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: AL12932 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2580 Pine Island Rd
Cooper City, FL 33024
Phone
(754) 900-8500
Mailing address
2580 PINE ISLAND RD

COOPER CITY, FL 33024
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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